Diagnosing Headache and Migraine – A Dog’s Breakfast.
August 20, 2009 by dean · Leave a Comment

Diagnosis, Like a Dog's Breakfast, Is All Over The Place
Q. What do diagnosing headache and migraine and a dog’s breakfast have in common?
A. It’s all over the place!
This is expressed in a recent article by Sun-Edelstein et al 2008. Since the diagnostic classification was published, there have been many attempts to confirm or otherwise the accuracy of the criteria. Because of the multiple revisions since, there exists a great deal of controversy and significant confusion, with headache specialists unsure as to which criteria to use.
Many patients after having received an initial diagnosis, are given a second diagnosis, with some requiring 3-4 diagnoses!
This is clearly unsatisfactory …. and is the result of trying to prove an untruth. The various types of headache and migraine are not separate entities, they are on a continuum, developing from a common disorder.
Cheers
Dean
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